经曰∶下者举之，滑者涩之。先哲皆谓气虚有热；或谓大肠热甚故出；或谓大肠与肺为表里
，肺经
蕴热，则肛门闭结，虚寒则滑出不收。或因用力，或因痢后，细推寒热治理。小儿患多。
主方 白术 茯苓 当归 川芎 芍药（酒炒） 生地 升麻（各一钱） 桔梗 炙草（
各五分） 加姜、枣水煎，空心服。
虚加参、 ；热加芩、连；滑脱倍升麻，加诃子、五倍子，醋糊丸服。
补中益气汤 （方见虚损） 治泻痢、大病及产后。
槐榆丸 （方见血门）治脱肛。
简便方 老幼脱肛。香附子、荆芥穗，或莲蓬壳，橡斗壳煎洗。
又 用朴硝汤洗，次鱼腥草捣烂坐肛门下；或锻石炒熟包坐肛下；或五倍子、明矾煎洗；或
桑叶、桃叶汤洗，萆麻仁捣涂顶心。
又 赤石脂或五倍子，或龙骨、木贼（烧），或黄柏、软石膏、滑石，皆可研末，掺草纸上
烘热托上；或梁上尘、鼠粪桶内烧熏自上。
（附∶腋漏）
证属足厥阴肝经郁热而成。腋下有窍泄臭气，以枯矾、麝香之类搓擦，仅止一时，必久服疏
肝药乃愈。关脉弦急实大，主腋气。
主方 龙胆草 生地黄 当归 木通 车前子 泽泻 柴胡 黄芩 青皮（等分） 水煎
服。或当归龙
苍丸。
驱秽散 治体气。外用除根法，内以此药。每五分，姜汤调下，泻秽毒出为度。
大黄（三钱） 檀香末（一钱） 槟榔（八分） 青木香 丁香（各三分） 共末，入麝二
分服。
除根法 先剃去腋毛，用铅粉水调涂之，数日后看有一小孔，即出气处也，以艾炷如米大
，灸七壮，孔实愈。
简便方 密陀僧，入麝研末，水调涂。用热蒸饼急夹腋下，一时掷之。
又 五更用精猪肉二大片，拌甘遂末（一两），挟腋下；天明，甘草（一两）煎汁饮。泻秽物地
上即埋，恐传入。或白芷、枯矾、黄丹、花椒末擦；或夜明砂、姜汁研敷。
医经中说：对于下陷的病证，应当用升提的方法治疗；对于滑脱不禁的病证，应当用固涩的方法治疗。先前的医家大多认为这是气虚兼有内热；也有人认为是大肠热盛导致直肠脱出；还有人认为大肠与肺互为表里，如果肺经蕴藏热邪，则会导致肛门闭塞不通（便秘），如果是虚寒之证，则会导致滑脱不收。此外，也可能因为用力过度，或者在痢疾之后发生，需要仔细推究是寒证还是热证，从而确定治疗方案。小儿患此病较多。
主方：白术、茯苓、当归、川芎、芍药（酒炒）、生地、升麻（各一钱），桔梗、炙甘草（各五分）。加入生姜、大枣，用水煎煮，空腹服用。
如果是虚证，加人参、黄芪；如果有热，加黄芩、黄连；如果是滑脱不止，加倍使用升麻，并加诃子、五倍子，用醋糊制成丸剂服用。
补中益气汤（方剂见“虚损”章节）：治疗因泻痢、大病以及产后引起的脱肛。
槐榆丸（方剂见“血门”章节）：治疗脱肛。
简便方：适用于老人和儿童脱肛。可用香附子、荆芥穗，或莲蓬壳、橡斗壳煎水清洗。
另外，可用朴硝汤清洗，然后用鱼腥草捣烂敷于肛门下方；或用煅石炒熟包裹敷于肛门下方；或用五倍子、明矾煎水清洗；或用桑叶、桃叶煎水清洗，再用蓖麻仁捣碎涂抹头顶百会穴。
另外，可用赤石脂或五倍子，或龙骨、木贼（烧焦），或黄柏、软石膏、滑石，将这些药材研成粉末，撒在草纸上烘热后托举复位；或者用屋梁上的灰尘、鼠粪在桶内燃烧熏蒸，使直肠自行收回。
（附注：腋漏/狐臭）
此证属于足厥阴肝经郁热所致。腋下有关窍排出臭气，仅用枯矾、麝香之类药物搓擦，只能暂时止住气味，必须长期服用疏肝理气的药物才能痊愈。如果关脉呈现弦急、实大的脉象，主病为腋气（狐臭）。
主方：龙胆草、生地黄、当归、木通、车前子、泽泻、柴胡、黄芩、青皮（等分）。用水煎煮服用。或者服用当归龙荟丸。
驱秽散：治疗体气（狐臭）。外用有除根的方法，内服以此药。每次服用五分，用姜汤调服，以排出秽毒之物为度。
配方：大黄（三钱）、檀香末（一钱）、槟榔（八分）、青木香、丁香（各三分）。共研为细末，加入麝香二分服用。
除根法：先剃去腋毛，用铅粉水调和涂抹患处，数日后观察会出现一个小孔，这就是排气之处。用米粒大小的艾炷，灸七壮，待孔洞愈合即痊愈。
简便方：密陀僧，加入麝香研成粉末，用水调和涂抹。用热的蒸饼迅速夹住腋下，片刻后取下扔掉。
另外，五更天时用两片精猪肉，拌入甘遂末（一两），夹在腋下；天亮时，用甘草（一两）煎汁饮用。将排出的秽物倒在地下随即掩埋，恐怕秽气传染他人。或者用白芷、枯矾、黄丹、花椒的粉末擦拭；或者用夜明砂、姜汁研磨后敷贴。
The medical classics state: For conditions characterized by sinking/prolapse, employ lifting methods; for conditions characterized by slipping/incontinence, employ astringent methods. Ancient physicians generally attributed this to Qi deficiency with internal heat; others believed it was due to excessive heat in the Large Intestine causing prolapse; still others argued that since the Large Intestine and Lung are exterior-interior paired organs, if heat accumulates in the Lung Meridian, it leads to anal constipation (obstruction), whereas deficiency-cold leads to slipping and inability to retract. Additionally, it may be caused by excessive straining or occurring after dysentery; one must carefully deduce whether it is a cold or heat pattern to determine treatment. This condition occurs frequently in children.
Main Formula: Baizhu (Atractylodis Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix, stir-fried with wine), Shengdi (Rehmanniae Radix), Shengma (Cimicifugae Rhizoma) (each 1 qian); Jiegeng (Platycodonis Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 0.5 qian). Add fresh ginger and jujube, decoct in water, and take on an empty stomach.
For deficiency patterns, add Renshen (Ginseng Radix) and Huangqi (Astragali Radix); for heat patterns, add Huangqin (Scutellariae Radix) and Lianzi (Coptidis Rhizoma); for slipping/prolapse, double the dosage of Shengma and add Hezi (Terminalia Chebulae Fructus) and Wubeizi (Galla Chinensis), formed into pills with vinegar paste.
Buzhong Yiqi Tang (Formula see "Xu Sun" chapter): Treats prolapse caused by diarrhea/dysentery, severe illness, and postpartum conditions.
Huaiyu Wan (Formula see "Xue Men" chapter): Treats rectal prolapse.
Simple Method: For elderly and children with prolapse. Decoct Xiangfu (Cyperi Rhizoma), Jingjie Sui (Schizonepetae Spica), or lotus pod shells, oak cupule shells, and wash externally.
Alternatively, wash with Puxiao (Natrii Sulfas) solution, then apply crushed Yuxingcao (Houttuyniae Herba) under the anus; or apply fried Duan Shi (Calamina) wrapped under the anus; or wash with Hezi and Mingfan (Alumen); or wash with Sangye (Mori Folium) and Tao Ye (Persicae Folium) decoction, then apply pounded Bimaren (Ricini Semen) to the Baihui acupoint on the vertex.
Alternatively, use Chishizhi (Halloysit Rubrum) or Hezi, or Longgu (Fossilia Ossis Mastodi et Scapulae), Muzei (Equiseti Hiemalis Herba [burned]), or Huangbai (Phellodendri Cortex), Ruangushao (Gypsum Fibrosum), Huashi (Talcum), grind into powder, sprinkle on grass paper, warm it, and manually reduce the prolapse; or burn dust from roof beams and mouse droppings in a bucket to fumigate upwards to induce retraction.
(Attachment: Axillary Osmosis / Fox Odor)
This syndrome belongs to stagnant heat in the Foot-Jueyin Liver Meridian. There is an orifice in the axilla discharging foul odor. Rubbing with substances like Kufan (Alumen) and Shexiang (Moschus) only provides temporary relief; long-term administration of Liver-soothing medications is required for cure. A Guan pulse that is wiry, rapid, full, and large indicates Axillary Osmosis.
Main Formula: Longdancao (Gentianae Radix), Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen), Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Qingpi (Citri Reticulatae Pericarpium Viride) (equal parts). Decoct in water and take. Or take Danggui Longdan Wan.
Quhui San: Treats body odor (Axillary Osmosis). External methods can remove the root; internally, take this medicine. Take 0.5 fen each time, mixed with ginger decoction, until foul toxins are discharged.
Ingredients: Dahuang (Rhei Radix et Rhizoma) (3 qian), Tanxiang Mo (Santalum Album Wood Powder) (1 qian), Binglang (Arecae Semen) (0.8 fen), Qingmuxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos) (each 0.3 fen). Grind into fine powder, add 2 fen of Shexiang (Moschus), and take.
Root-Removal Method: First shave the axillary hair, apply a mixture of Qianfen (Lead Carbonate) and water to the area. After several days, a small pore will appear, which is the exit for the air. Use moxa cones the size of rice grains, moxibustion 7 zhuang. When the pore heals, the condition is cured.
Simple Method: Mituo seng (Arsenolite), ground with Shexiang (Moschus), mixed with water and applied. Immediately press a hot steamed cake against the armpit, then discard it after a short while.
Alternatively, at dawn (Wugeng), sandwich two large slices of lean pork mixed with Gansu powder (1 liang) between the armpits; at daybreak, drink juice decocted from Gancao (Licorice Root) (1 liang). Bury the discharged foul matter in the ground immediately to prevent transmission. Alternatively, rub with powder made of Baizhi (Angelicae Dahuricae Radix), Kufan (Alumen), Huangdan (Minii Litharge), and Huajiao (Zanthoxyli Pericarpium); or apply paste made from Yeming Sha (Typhodii Spora) and ginger juice.